2014 AANS Annual Report - page 32

32
2014
ANNUAL REPORT
NPA PRESIDENT’S MESSAGE
There is an ever-increasing demand from patients, licensing boards,
hospitals, third-party payers and the federal government for neurosurgeons
to document the quality and value of their treatments. In this kind of
environment, only those organizations that can collect, analyze and deploy
clinical and economic data will prosper.
There is an ever-increasing demand from patients, licensing boards, hospitals,
third-party payers and the federal government for neurosurgeons to document
the quality and value of their treatments. In this kind of environment, only those
organizations that can collect, analyze and deploy clinical and economic data
will prosper. In anticipation of this, the AANS created the NeuroPoint Alliance
(NPA) in 2008. NPA is a not-for-profit 501(c)(6) corporation that was created
to allow organized neurosurgery to carry out a wide variety of national projects
involving the acquisition, analysis and reporting of clinical and economic data
from neurosurgical practice, using online technologies. The corporation is run
by a board of directors who are appointed by the AANS, ABNS, CNS, SNS and
the AANS/CNS Spine Section. NPA projects include investigator initiated multicenter studies, data collection
for the American Board of Neurological Surgery’s primary certification and maintenance of certification
processes and registries of neurosurgical procedures. NPA collaborates with various data management
groups, including the Vanderbilt Institute for Medicine and Public Health (VIMPH), Quintiles/Outcome and
Acesis, in order to provide the highest quality data collection, analysis and feedback.
The NPA’s largest effort, the
is a
prospective clinical registry designed to generate high-quality neurosurgical patient outcomes data.
Participation in N
2
QOD requires centers to purchase access to the database, commit to at least three years
of data collection and employ a data manager who has at least 50-percent commitment to this project.
This national registry program, done in collaboration with VIMPH, has been active for almost 30 months.
In February 2012, the N
2
QOD Lumbar Spine Module was piloted in three academic centers. The program
has expanded rapidly and as of June 30, 2014, 50 programs in academic and community settings across
the United States are participating in the program. A total of 53 sites have achieved complete institutional
review of the project and the NPA is activating new sites weekly. More than 11,000 patients have been
enrolled in the N
2
QOD lumbar and cervical modules, making the N
2
QOD the largest spine registry in North
America. The infrastructure of the N
2
QOD has been designed to allow us to greatly expand the number
of participating sites over time. A detailed methodological description of the N
2
QOD project and the
rationale behind the structure of this surgical registry are described in papers in the January 2013 issue
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